Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $321.13 / $399.86 / $964.14	Facility	26	$321.13	$399.86	$964.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $319.58 / $383.50 / $472.98	Professional	26	$319.58	$383.50	$472.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $553.07 / $595.95 / $607.23	Facility	26	$553.07	$595.95	$607.23